科伯特定向硬币测试:可靠性,与标准相关的有效性和规范性数据
Kimatha O Grice1, Gustavo J Almeida2
1Department of Occupational Therapy, University of Texas Health Science Center, San Antonio, TX, USA.
概括
科伯特定向硬币测试 (CTCT) 显示了中等至优异的interrater可靠性,但对于评估手中的操纵来说,测试-恢复可靠性很差. 需要进一步的研究来提高其临床使用的可靠性.
科学领域:
- 临床测量和评估精细运动技能.
- 职业治疗和康复.
- 人类的运动控制和灵巧.
背景情况:
- 日常生活任务经常需要手动操纵 (IHM).
- 需要标准化的评估工具来衡量IHM.
- 科伯特准硬币测试 (CTCT) 是为了测量IHM的精细运动技能而开发的.
研究的目的:
- 为了评估CTCT的interrater,测试-重新测试可靠性和有效性.
- 为CTCT建立成人规范数据.
主要方法:
- 可靠性和有效性: 30名参与者 (21-45岁) 使用CTCT和Nine-Hole Peg Test由三名研究人员进行评估,在一周后重新评估CTCT.
- 使用类内相关系数 (ICC2,k) 评估了可靠性.
- 规范性数据:190名参与者 (20-80岁) 使用CTCT进行评估,分年龄组和性别分析得分.
主要成果:
- 对CTCT的试验-重试可靠性对右手来说很差 (ICCs = -0.29到0.45),对左手来说很差-中等 (ICCs = 0.17-0.56).
- 评价者之间的可靠性从中等到优异 (ICCs = 0.60-0.80).
- 在CTCT和九洞测试中达成一致,两手的分数都很差 (ICCs = 0.02-0.06).
- 规范性数据表明,在41-50岁的年龄组中表现最高,在71-80岁的年龄组中表现最低,两性得分相似.
结论:
- 该CTCT证明了可接受的interrater可靠性,表明由不同的测试者一致的管理.
- 测试重复测试可靠性差可能归因于实践效应,表明需要改进.
- CTCT测量的结构不同于九洞测试,这表明它捕捉到灵巧的独特方面.
- CTCT可以为评估精细运动技能和IHM提供额外的维度,但需要进一步研究测试复试可靠性.
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